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Permit
v " CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2009 -00002 COMMUNITY DEVELOPMENT DATE ISSUED: 1/15/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DA -01400 SITE ADDRESS: 15350 SW SEQUOIA PKWY 190 ZONING: I -P SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG PROJECT: DIANA HARRISON CPA Project Description: Fire alarm TI. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,800.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES MERLIN POINTE TECH LLC 15350 SW SEQUOIA PKWY #300 -WMI 12606 NE 95TH ST SUITE C -130 PORTLAND, OR 97224 VANCOUVER, WA 98682 Phone: Contact #: PRI 503- 349 -0846 Reg #: LIC 155924 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 1/5/2009 $62.50 [TAX] 12% State Surch 1/5/2009 $7.50 [FLS] FLS Pin Rv 1/5/2009 $25.00 Total $95.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. / - Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • ,'W Dr of t-E r (.5 torast -* (C Build1n Permit Application Fire Protection System RE FOR OFFICE USE ONLY City of Tigard Received / P ermit No.: ° 13125 SW Hall Blvd., Tigard, OR 97223 JAN U 6 2009 Date/B Plan Review C _ �� Phone: 503.639.4171 Fax: 503.598.1960 1 ', Date/B : /Mt Other Pe it: T l G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: 63 See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION fted/Me od: / /5 /Li Supplemental Information TYPE OF WORK IRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El 1- and 2- family dwelling c ommercial /industrial Valuation: $ El Accessory building El Multi-family Number of bedrooms: ❑ Master builder CI Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 .-3 s0 .5 Li / N dwelling area: s J n J , �� -vo�4 k g square feet q - City/ State/ZIP: P°Al Iit,. p O - 9n 24 Garage/carport area: square feet Suite/bldg. /apt. no.: / 9 Project name: n; piAlit I4M17r SGi (f)f3 Covered porch area: square feet Cross street/directions to job site: 7.741.✓ fi,,cir tic c , A PfWjl Deck area: square feet 1 ,-444 S7gn nos iiif / Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ e T„x7:4/I A t. Dot 44.1 4' y kvb- 5717edt S Existing building area: square feet New building area: square feet fti PROPERTY OWNER ❑ TENANT Number of stories: Name: PAL 1Xu S7 / Type of construction: Address: / S '3co 5,. 5 t1 ©/.A Pit ttn 766 Occupancy groups: City/State/ZIP: PC4 an 72714 Existing: Phone: (5- ) 4 7 /- 4 340 Fax: ( ) New: ❑ APPLICANT 21 CONTACT PERSON NOTICE Business name: M r Yo „JrF TrehA10ibtt s 14/, All contractors and subcontractors are required to be Contact name: 6e./ �tGE.� licensed with the Oregon Construction Contractors Board i under ORS 701 and may be required to be licensed in the Address: /Z/1 ( AZ( c i t S:. s!L L_/7o jurisdiction in which work is being performed. If the ' applicant is exempt from licensing, the following reasons City/ State/ZIP: ow /Nth 7 t:✓4 'f V40 apply: Phone: (Z 10 o ar I Fax:: ( ) E -mail: • CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: 141411.,'-) n0 ' dr TC.CL Permit fee: 6 Address: / 2 4 , t, "te G Jf %L Si! SIG l /36 State surcharge (12% of permit fee): 7 -,5b City/State/ZIP: Li/ULU/ n h gr6 (� J FLS plan review (40% of permit fee): p Phone: (*3 ) 3 yg _ air 6 Fax: ( ) (Due upon application.) U CCB lic.: i S' • 2. Total permit fees: 95 Authorized signature: Amount received: g a This permit application expires if a permit is not obtained Print name: within 180 days after it has been accepted as complete. .4;ji �>?bFSei Date: i_5---_, Gy * Fee methodology set by Tri -County Building Industry Service Board. 1:\Building\Permits\FPS- PermitApp.doc 0323/06 440 -4613T(l1 /02/COM/WEB) J ow • . City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: • Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: I $ C.) Fire Alarm Submittal shall Battery Calculations .r Yes include: Individual Component j Yes _ Cut Sheets Fire Alarm Project Valuation: $ god D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and greater $381.50 Sprinkler Project Square Footage: sq. ft. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. http: / /www.tigard- or.gov /city_ hall/departments /cd /docs /FPS- PernutApp.doc 2 * 40 ' CITY OFTIG R .: •. 4" - BUILDING DIVISION' PERMIT #: BUP2009 =0 ll t2 13125 SW Hall Blvd.,, Tigard, OR 97223 �� DATE ISSUED': 1/`Y500 9 Phone : - ,(503) '639-4171 /�innm�dlu% ; � ,Inspection Requests. (24 Hrs.): (503) 639 -4175 � II " P" INSPECTION :WORKSHEET FOR DATE 103/2009 TIME: 7 00AM PAGE: 3 F S t�laU4'A Pld`� CLASS OF WORK: SITE ADDRESS: 15350 - ,� 19t) SUBDIVISION: . PACIFIC OORPOR•ATE CENTER LOT #: 032 TYPE OF USE:. PROJECT NAME: DIANA HARRISON CPA DESCRIPTION: Fire alarm TI. • OWN PACIFIC REALTY ASSOCIATES, • PHONE #: CONTRACTOR: MERLIN POIWTE TECH LLC PHONE #: 5O3 34943846 ' Inspection Request Scheduled For: • Date: 1/:3p009 Pour Time: Code # . Inspection Description Confirm # Contact # ' Message 990 Alarm hnz.I: • . 079980 -01 . 503 - 958.5290 3 Ni.tl< . . Corrections /Comments /Instructions: ' . . • . , . . , . • . . . _ . • • • . ®• '- PA RTI AL APPROVAL 1] CANCEL 1 NO ACCESS fl FAIL CALL FOR INSPECTION n ADDITI•N'AL FEES ASSESSED ,Inspector: _ - C Date: / d Phone #: (503) 718- _ _a „ CITY OF TIGARD a --, ., v B 0 UILDING DIVISIOIV PERMIT #: Bu p200,.00002 1SI0 0000; 13125 SW Hall Blvd, Tigard, OR 97223 DATE ISSUED: 1/16/409 Phone: (503) 639 . puNpiN6 It Inspection Requests (24 Hrs.): (503) 639. -4175 INSPECTION WORKSHEET FOR DATE: 112112009 TIME: 7 :00Am PAGE: 10 SITE ADDRESS: 15360 SW SEQUOIA PKWY 190 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: DIANA HARRISON CPA DESCRIPTION: File alerrn .. f'I . OWNER: PACIF1.0 REAI..TY ASSOCIATES, : PHONE #: CONTRACTOR: MERLIN POINTE TECH LLC PHONE #: 603- 349.08446 Inspection Request Scheduled For: Date: 1/21/2009 Pour Time Code # Inspection Description Confirm # Contact # Mess- • - iv .. . 998 Alarm 'final 079885-01 50 Corrections /Comments /Instructions: FP KIM ft__:-- d g_ I .R( -`ZZ, " .-- - - if ( • • 1 El PAS % PARTIAL APPROVAL n CANCEL n NO ACCESS 0 FAIL ..... ' ALL ir FOR INSPECTION El ADDITIONAL FEES ASSESSED Za inspector: . Tr 4� Date: / it. .0 =Phone 4t, (503) 718.- ? / • . •FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 - FIRE ALARM SYSTEM RECORD OF COMPLETION To be completed by the'system installation contractor at the time of system acceptance and approval. 1. PROTECTED PROPERTY INFORMATION 'C Name of property: N...J ST Address: IS M -6 (k) Mv;O pt ti.V3 iptcuptiis eyg. Description of property: 3 <��►Ry O f K Occupancy type: / Name of property representative: ( C Uk c. c'jx —ptt_ 1 4' spy l Address: .61\+-‘z 7 4- Pglovz Phone: <3` la 2 Fax: E -mail: Authority having jurisdiction over this property: C_ Of 1 KAM Phone: Fax: E -mail: 2. FIRE ALARM SYSTEM INSTALLATION, SERVICE, "IR TESTIN�IJVFORMATION Installation contractor for this equipment: l= -*.+ VOINTS 1 U-*i 3Q Lp , U`J Address: / m 9. 5T11 3r. C.\ \*Qc ilVe`P, `MVO - Phone: 3(c0'S 1I et> Q)5 Fax: ` 2R € L E -mail: 6 l"',owteliA Ni Service organization for this equipment: Address: • Phone: Fax: E -mail: Location of as -built drawings: Location of historical test reports: Location of system operation and maintenance manuals: A contract for test and inspection in accordance with NFPA standards is in effect as of Contracted testing company: Address: Phone: Fax: E -mail: Contract expires: Contract number: Frequency of routine inspections: 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE NFPA 72 Chapter Reference of System Type: Name of organization receiving alarm signals with phone numbers (if applicable): Alarm: Phone: Supervisory: Phone: Trouble: Phone: Entity to which alarms are retransmitted: Phone: Method of retransmission of alarms to that organization or location: © 2007 National Fire Protection Association NFPA 72 (p. 1 of 5) FIGURE 4.5.2.1 Record of Completion. 2007 Edition `, 72 -34 NATIONAL FIRE ALARM CODE 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE (continued) If Chapter 8, note the means of transmission from the protected premises to the central station: ❑ Digital alarm communicator D McCulloh ❑ Multiplex D 2 -way radio ❑ 1 -way radio ❑ N/A If Chapter 9, note the type of connection: ❑ Local energy ❑ Shunt ❑ N/A 3.1 System Software Operating system (executive) software revision level: Site - specific software revision date: Revision completed' by: 4. SIGNALING LINE CIRCUITS Characteristics of signaling line circuits connected to this system (see NFPA 72, Table 6.6.1): Quantity: Style: Class: i 5. ALARM - INITIATING DEVICES AND CIRCUITS Characteristics of initiating device circuits connected to this system (see NFPA 72, Table 6.5): Quantity: Style: Class: 5.1 Manual Initiating Devices 5.1.1 Manual Pull Stations Number of manual pull stations: Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A 5.2 Automatic Initiating Devices 5.2.1 Area Smoke Detectors Number of smoke detectors: Type of coverage: ❑ Complete area ❑. Partial area ❑ Nonrequired partial. area ❑ N/A Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A Type of smoke detector sensing technology: ❑ Ionization ❑ Photoelectric 5.2.2 Duct Smoke Detectors Number of duct smoke detectors: Type of coverage: Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter D N/A Type of smoke detector sensing technology: D Ionization ❑ Photoelectric 5.2.3 Heat Detectors Number of heat detectors: Type of coverage: ❑ Complete area ❑ Partial area ❑ Nonrequired partial area ❑ N/A Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A 5.2.4 Sprinkler Waterflow Detectors Number of waterflow detectors: Type of devices ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A 5.2.5 Alarm Verification Number of devices subject to alarm verification: Alarm verification on this system is: ❑ Enabled Cl Disabled ❑ Set for seconds © 2007 National Fire Protection Association NFPA 72 (p. 2 of 5) FIGURE 4.5.2.1 Continued 2007 Edition FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 - i 6: , SUPERVISORY SIGNAL - INITIATING DEVICES AND CIRCUITS 6 . 1 Sprinkler System Number of valve supervisory switches: Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A 6.2 Fire Pump Type of fire pump: D Electric ❑ Diesel Type of fire pump supervisory devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A Fire Pump Functions Supervised ❑ Fire pump power ❑ Fire pump running ❑ Fire pump phase reversal ❑ Selector switch not in auto ❑ Engine or control panel trouble ❑ Low fuel Other: 6.3 Engine- Driven Generator Type of generator supervisory devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A ❑ Engine or control panel trouble ❑ Generator running ❑ Selector switch not in auto ❑ Low fuel Other: 7. ANNUNCIATORS • 7.1 Annunciator 1 ❑ Local ❑ Remote Type: ❑ Addressable ❑ Directory ❑ Graphic ❑ N/A Location: 7.2 Annunciator 2 ❑ Local ❑ Remote Type: ❑ Addressable ❑ Directory ❑ Graphic ❑ N/A Location: 7.3 Annunciator 3 ❑ Local ❑ Remote Type: ❑ Addressable ❑ Directory ❑ Graphic ❑ N/A Location: 8. ALARM NOTIFICATION DEVICES AND CIRCUITS 8.1 Emergency Voice Alarm Service Number of single voice alarm channels: Number of multiple voice alarm channels: Number of speakers: Number of speaker zones: 8.2 Telephone•Jacks • Number of telephone jacks installed: Number of telephone handsets stored on site: Type of'telephone system installed: ❑ Electrically powered ❑ Sound powered ❑ N/A 8.3 Nonvoice Audible •System Characteristics of notification device circuits connected to this system (see NFPA 72, Table 6.5): Quantity: Style: Class: © 2007 National Fire Protection Association NFPA 72 (p. 3 of 5) FIGURE 4.5.2.1 Continued 2007 Edition `, ;,� • 72 -36 NATIONAL FIRE ALARM CODE 8. ALARM NOTIFICATION DEVICES AND CIRCUITS (continued) 8.4 Types and Quantities of Nonvoice Notification Appliances Installed Bells: With visual device: Horns: .3 With visual device: Chimes: With visual device: 3 Bells: With visual device: Visual devices without audible devices: 3 Other (describe): 9. EMERGENCY CONTROL FUNCTIONS ACTIVATED ❑ Hold -open door releasing devices ❑ Smoke management or smoke control ❑ Door unlocking ❑ Elevator recall ❑ Other 10. SYSTEM POWER SUPPLY 10.1 Primary Power Nominal voltage Amps Overcurrent protection: Type Amps Location (of primary supply panelboard): Disconnecting means.location: - 10.2 Secondary Power Location: Type: Nominal voltage: Current rating: Number of standby batteries: Amp hour rating: Location of emergency generator: Location of fuel storage: Calculated capacity of secondary power to drive the system In standby mode: In alarm mode: 11. RECORD OF SYSTEM INSTALLATION Fill out after all installation is complete and wiring has been checked for opens, shorts, ground faults, and improper branching, but before conducting operational acceptance tests. The system has been installed in accordance with the following NFPA standards: (Note any or all that apply.) ViL.NFPA 72 NFPA 70, National. Electrical. Code, Article 760 Manufacturer's published instructions ❑ Other (please specify): System deviations from referenced NFPA standards: Signed: _ tab �� t4M J Printed name `ld °"- Date: / • Organization: - 1a 2 Title: ilaSAL1 Phone: 91116 12. RECORD OF SYSTEM OPERATION All operational features and functions of this system were tested by or in the presence of the signer shown below, on the date shown below, and were found to be operating properly in accordance with the requirements of: ❑ NFPA 72 ❑ NFPA 70, National Electrical Code, Article 760 ❑ Manufacturer's published instructions ❑ Other (please specify): ❑ Documentation in accordance with Inspection and Testing Form (Figure 10.6.2.3) is attached Signed: Printed name: Date: Organization: Title: Phone: © 2007 National Fire Protection Association NFPA 72 (p. 4 of 5) • FIGURE 4.5.2.1 Continued 2007 Edition , FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 - 13. CERTIFICATIONS AND APPROVALS 13.1 System Installation Contractor This system as specified herein has been installed and tested according to all NFPA standards cited herein. Signed: �,,,„ `'''am (�,� Printed name:113Se . !��p��`,,. Date: u� Organization: fLIt•4+�%Iar� �' ' Title: 1 3COV � i a 1 ' 't Phone: Ili" 161 13.2 System Service Contractor This system as specified herein has „been installed and tested according to all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: 13.3 Central Station This system as specified herein will be monitored according to all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: 13.4 Property Representative I accept this system as having been installed and tested to its specifications and all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: 13.5 Author' • Having Jurisdiction I have wit . =. d a satisfactory accept. • •s + this system and find it to be installed and operating properly in accord. • ith its': • • oved p1. s and specifications, its approved sequence of operations, and with all NFPA standar• .ed herein Signe• ��; • i ted name: Gt i tP EAR of -- Date: 1 Z2-- 0$ Organization: N . • ■ ; Title: I Ut tDI N h 271 CPeZro K 1J F hone: © 2007 National Fire Protection Association NFPA 72 (p. 5 of 5) FIGURE 4.5.2.1 Continued 2007 Edition `,